Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study

Objective: Disruption of the intestinal epithelial barrier has been shown to occur following burn injury. This process can lead to translocation of pathogens from the gut lumen to the systemic circulation and distant organs thereby increasing the risk for sepsis. The aim of this study was to examine...

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Main Authors: Emre Karakaya, Necip Altundaş, Erdal Karagülle
Format: Article
Language:English
Published: Hitit University 2021-10-01
Series:Hitit Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1869581
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author Emre Karakaya
Necip Altundaş
Erdal Karagülle
author_facet Emre Karakaya
Necip Altundaş
Erdal Karagülle
author_sort Emre Karakaya
collection DOAJ
description Objective: Disruption of the intestinal epithelial barrier has been shown to occur following burn injury. This process can lead to translocation of pathogens from the gut lumen to the systemic circulation and distant organs thereby increasing the risk for sepsis. The aim of this study was to examine the effect of amifostine (WR-2721) on bacterial translocation in a rat burn injury model. Material and Method: A total of 27 male Wistar albino rats were divided into three groups of nine. Group I was a control group. Group II and Group III was subjected to third-degree burns over 30% of the total body surface area, and group III was administered amifostine 200 ml/kg intraperitoneally, followed by a 10 ml/kg/day maintenance dose after undergoing third-degree burns. After 48 hours, tissue and blood samples were obtained and cultured from the liver, spleen, mesenteric lymph nodes, and cecum. Results: Blood cultures were negative in all groups. In the control group, colonization appeared only in the cecum, but in groups II and III, colonization was found in the liver, spleen, mesenteric lymph nodes, and cecum. While bacterial colonization was most frequently found in the cecum and mesenteric lymph nodes, bacterial counts did not significantly differ in the cecum (P = 0.298) and mesenteric lymph nodes (P = 0.418) between groups II and III. Conclusion: Amifostine alone is not effective in controlling bacterial translocation associated with burn injuries. These results should be interpreted with caution as there are a number of factors that affect bacterial translocation.
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spelling doaj.art-00b776c6ef8f4d6585c11e76066e73cc2024-04-05T08:04:17ZengHitit UniversityHitit Medical Journal2687-47172021-10-0133717510.52827/hititmedj.967106150Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental StudyEmre Karakaya0Necip Altundaş1Erdal Karagülle2BAŞKENT ÜNİVERSİTESİATATÜRK ÜNİVERSİTESİBAŞKENT ÜNİVERSİTESİObjective: Disruption of the intestinal epithelial barrier has been shown to occur following burn injury. This process can lead to translocation of pathogens from the gut lumen to the systemic circulation and distant organs thereby increasing the risk for sepsis. The aim of this study was to examine the effect of amifostine (WR-2721) on bacterial translocation in a rat burn injury model. Material and Method: A total of 27 male Wistar albino rats were divided into three groups of nine. Group I was a control group. Group II and Group III was subjected to third-degree burns over 30% of the total body surface area, and group III was administered amifostine 200 ml/kg intraperitoneally, followed by a 10 ml/kg/day maintenance dose after undergoing third-degree burns. After 48 hours, tissue and blood samples were obtained and cultured from the liver, spleen, mesenteric lymph nodes, and cecum. Results: Blood cultures were negative in all groups. In the control group, colonization appeared only in the cecum, but in groups II and III, colonization was found in the liver, spleen, mesenteric lymph nodes, and cecum. While bacterial colonization was most frequently found in the cecum and mesenteric lymph nodes, bacterial counts did not significantly differ in the cecum (P = 0.298) and mesenteric lymph nodes (P = 0.418) between groups II and III. Conclusion: Amifostine alone is not effective in controlling bacterial translocation associated with burn injuries. These results should be interpreted with caution as there are a number of factors that affect bacterial translocation.https://dergipark.org.tr/tr/download/article-file/1869581amifostinebacterial translocationburnsyanıklaramifostinbakteriyel translokasyonyanıklar
spellingShingle Emre Karakaya
Necip Altundaş
Erdal Karagülle
Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
Hitit Medical Journal
amifostine
bacterial translocation
burns
yanıklar
amifostin
bakteriyel translokasyon
yanıklar
title Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
title_full Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
title_fullStr Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
title_full_unstemmed Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
title_short Effect of Amifostine (WR-2721) on Bacterıal Translocation After Burn Injury: An Experımental Study
title_sort effect of amifostine wr 2721 on bacterial translocation after burn injury an experimental study
topic amifostine
bacterial translocation
burns
yanıklar
amifostin
bakteriyel translokasyon
yanıklar
url https://dergipark.org.tr/tr/download/article-file/1869581
work_keys_str_mv AT emrekarakaya effectofamifostinewr2721onbacterıaltranslocationafterburninjuryanexperımentalstudy
AT necipaltundas effectofamifostinewr2721onbacterıaltranslocationafterburninjuryanexperımentalstudy
AT erdalkaragulle effectofamifostinewr2721onbacterıaltranslocationafterburninjuryanexperımentalstudy